Abstract
Objectives:
We evaluated the protective effectiveness of speed humps in reducing child pedestrian injuries in residential neighborhoods.
Methods:
We conducted a matched case-control study over a 5-year period among children seen in a pediatric emergency department after being struck by an automobile.
Results:
A multivariate conditional logistic regression analysis showed that speed humps were associated with lower odds of children being injured within their neighborhood (adjusted odds ratio [OR] = 0.47) and being struck in front of their home (adjusted OR = 0.40). Ethnicity (but not socioeconomic status) was independently associated with child pedestrian injuries and was adjusted for in the regression model.
Conclusions:
Our findings suggest that speed humps make children's living environments safer.
MeSH terms
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Accident Prevention*
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Accidents, Traffic* / legislation & jurisprudence
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Accidents, Traffic* / mortality
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Accidents, Traffic* / prevention & control
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Accidents, Traffic* / statistics & numerical data
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Automobile Driving* / legislation & jurisprudence
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Automobile Driving* / statistics & numerical data
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Bias
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California / epidemiology
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Case-Control Studies
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Child
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Child Welfare / statistics & numerical data*
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Emergency Service, Hospital / statistics & numerical data
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Female
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Hospitals, Pediatric / statistics & numerical data
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Humans
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Income
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Insurance, Health
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Logistic Models
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Male
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Multivariate Analysis
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Odds Ratio
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Population Surveillance
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Residence Characteristics
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Risk Factors
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Safety Management / legislation & jurisprudence
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Safety Management / methods*
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Socioeconomic Factors
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Urban Health / statistics & numerical data
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Walking*